ACBHCS QA 4.2013 - Alameda County Behavioral Health

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Contact Us: • For questions on coding, please contact Quality Assurance at (510)567‐ 8105 • If you feel that you are missing a procedure code that you are contracted for, that should be included in your RU, please call Provider Relations at (800) 878‐1313. • For Clinicians Gateway questions, Please contact IS at (510)567‐8181. • For questions regarding your agency contract, please contact the Network Office at (510) 567‐8296
Training Resources: The National Council Resource Page: • http://www.thenationalcouncil.org/cs/cpt_codes The APA Resource Page • http://www.psych.org/practice/managing‐a‐practice/cpt‐changes‐ 2013/current‐procedural‐terminology‐cpt‐code‐changes‐for‐2013 The AMA • http://www.ama‐assn.org/ama/pub/physician‐resources/solutionsmanaging‐your‐practice/coding‐billing‐insurance/cpt.page? • The AMA app: EM Quickref (android or apple) • AMA Webinar ‐ Psychotherapy/Psychiatric Services: CPT ® 2013 Changes ‐ Psychotherapy/Psychiatric Services. This one‐hour program discusses the changes made in the Psychotherapy/Psychiatric Services coding section.
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ACBHCS QA 4.2013
Page 3 and 4:
AGENDA • Why we are doing this tr
Page 5 and 6:
New InSyst Procedure codes map to M
Page 7 and 8:
Retained Procedure Codes Old New CP
Page 9 and 10:
Psychiatric Diagnostic Evaluation P
Page 11 and 12:
Non E/M Codes (Psychotherapy & Cris
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Time Spent in Session: examples 1.
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PSYCHOTHERAPY FACE TO FACE TIME = 3
Page 17 and 18: Add‐On Codes (+) Add‐On (+) cod
Page 19 and 20: Crisis Code 377‐90839 (Used Alone
Page 21 and 22: Crisis Code 377‐90839 + 378‐908
Page 23 and 24: Add‐On Code for Additional Servic
Page 29 and 30: Interactive Complexity (+) 491‐ 9
Page 31 and 32: Psychotherapy Add‐on Codes to E/M
Page 33 and 34: Evaluation and Management (E/M) Cod
Page 35 and 36: CPT E/M New client Definition—CBO
Page 37 and 38: Two Paths to E/M Selection • PATH
Page 39 and 40: Path 1: Choosing the E/M Code Based
Page 47 and 48: See hand‐outs Progress Note Templ
Page 49 and 50: Medical Necessity—CMS • The Cen
Page 51 and 52: General Principles of Documentation
Page 57: Path 2: Choosing the E/M Code Based
Page 63 and 64: See E/M Progress Note Template Base
Page 65 and 66: Medication Support: RN/LVN/Psych Te
Page 67: Elimination of AB3632 procedure cod
Page 71: Resources continued: • AMA Code B
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ACBHCS QA 4.2013 - Alameda County Behavioral Health

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